A1-SOW.pdf

STATEMENT OF WORK

Title of Service: Podiatry

Location: Northern Cheyenne Service Unit, Lame Deer, MT

A. BACKGROUND:

Northern Cheyenne Service Unit (NCSU) is a PHS Indian Health Center that provides healthcare services to the Northern Cheyenne Indian Reservation.

B. OBJECTIVE / DELIVERABLES:

Podiatry services will be provided through two clinics per month. Contractor will provide comprehensive assessment of foot care for patients. This will include evaluation, interpreting test results, appropriate consultation with medical staff and complete, accurate, documentation of results and services provided. Intervention will include diagnosis and treatment of pathogenic conditions of the lower extremities, surgical correction of osseous deformities and treatment of ulcers. Program management duties will include ensuring proper supplies and equipment is available and maintained. Ensuring adequate training and competency for support staff is available. All services and education will be provided in a culturally appropriate manner.

C. SCOPE OF WORK

The comprehensive health care provided primarily involves patients with complex medical/surgical problems where courses of treatment are not always established. The work includes the broad medical functions of: education, prevention, cure, and rehabilitation, in addition to the practice of Podiatrics. The incumbent serves as a consultant on the most difficult cases and performs advanced diagnostic and treatment procedures without professional direction. Recognizes rare and difficult-to-identify symptoms or signs, and responsibility for developing a full treatment regimen involving a knowledge of new techniques or the use of prolonged or complicated procedures or advanced delicate skills.

D. PERIOD OF PERFORMANCE:

Start Date: November 1, 2022 through End Date: October 31, 2023 with four (4) 12-month option periods.

E. STANDARD REQUIREMENTS

Guidelines available include DHHS, PHS, IHS, Billings Area, Service Unit, and Medical

Staff regulations, policies, procedures, and by-laws. In addition, traditional and currently accepted medical practices are available in the form of specialty consultation, medical journals, and textbooks. In nearly all cases, however, the Podiatrists judgement is the key factor in determining whether guidelines are to be adhered to or deviated or whether new guides need to be developed to protect the interests of the patient.

F. WORKFORCE REQUIREMENTS

Doctor of Podiatric Medicine from a school of podiatric medicine accredited by the Council on Podiatric Medical Evaluation and completion of an approved five (5) year preceptorship or residency in Podiatry, leading to board eligibility or board certification by an approved

American Specialty board, or an equivalent combination of graduate training and experience to total a minimum of five years. Licensure to practice podiatry medicine in the United States or District of Columbia or Puerto Rico, is required.

G. ASSUMPTIONS.

Personal contacts of the incumbent are with patients, other employees, representatives of other federal, state and tribal health organizations, and administrators and physicians from the private sector. These contacts are made with individuals and occasionally groups in moderately unstructured settings. The purpose of contacts are to exchange information, resolve problems, educating, influencing, and motivating individuals and groups to understand and accept recommended medical information, diagnosis, treatment, and therapies. The work requires some physical exertion and stamina, and extensive walking, standing, bending, and similar activities. Patients may be required to be lifted from time to time. The work is performed in a clinical setting, with continual exposure to patients having a variety of illnesses and communicable diseases. Occasionally, the incumbent may be subjected to adverse weather and hostile patients and/or the families.

H. GENERAL QUALITY ASSURANCE

As part of the Quality Control and monitoring of the contract, the contractor will be evaluated on their performance and will be conducted in line with permanent IHS employees of similar standing. They will be based upon the review criteria as set forth in the solicitation and contained in their statement of work.